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Diagnostic Tests for Puffy eyes

Diagnostic Test list for Puffy eyes:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Puffy eyes includes:

  • Eye examination
    • Examine nature and site of the eye or eyelid puffiness
    • Visual acuity (vision testing of the eye)
    • Inspect the eye noting the nature of any redness, if present
    • Evert the upper eyelid and inspect for a cobblestone appearance (which indicates allergic conjunctivitis) or scarring under the eyelids (which may indicate trachoma)
    • Use fluorescein staining of the cornea to detect any corneal ulceration (if suspect ocular shingles or Rosacea)
    • Eye movements may be restricted in orbital cellulitis
  • Physical examination
    • Palpate the bones overlying the sinuses for tenderness which may indicate acute sinusitis or orbital cellulitis
    • Look for the butterfly facial rash of systemic lupus erythematosus or the acne-like facial rash of rosacea
    • Neck lymph nodes may be enlarged in ocular shingles, viral conjunctivitis or Chagas' disease
  • Blood tests
    • Full blood count and ESR
    • Renal function tests
    • Blood sugar may detect diabetes which can cause nephrotic syndrome
    • Albumin will be low in nephrotic syndrome
    • Elevated triglycerides and LDL cholesterol in nephrotic syndrome
    • ANA may detect systemic lupus erythematosus
    • Serum electrophoresis may detect myeloma which can cause amyloid and consequent nephrotic syndrome
    • RAST allergy tests, if suspect allergies
    • Trichinella spiralis serology, if suspect trichinosis
  • Urine tests
    • 24 Hour urinary protein elevated in nephrotic syndrome
    • Skin prick allergy tests, if suspect allergies to be the cause
    • Throat swab - if suspect streptococcal throat infection as a cause of nephrotic syndrome.
    • Swab of eye discharge, if present for microscopy and culture - may be required in some circumstances e.g. essential with conjunctivitis in newborn to detect possible Chlamydia, gonorrhea or herpes simplex infections; or if bacterial conjunctivitis is severe or prolonged.

Home Diagnostic Testing

These home medical tests may be relevant to Puffy eyes causes:

Conditions listing medical symptoms: Puffy eyes:

The following list of conditions have 'Puffy eyes' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Puffy eyes or choose View All.

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